ANNUAL REPORT 2010 UNFPA OUR MISSION: UNFPA, the United Nations Population Fund, is an international development agency that promotes the right of every woman, man and child to enjoy a life of health and equal opportunity. UNFPA supports countries in using population data for policies and programmes to reduce poverty and to ensure that every pregnancy is wanted, every birth is safe, every young person is free of HIV and AIDS, and every girl and woman is treated with dignity and respect. UNFPA—because everyone counts. PHOTOS Cover: Midwife with obstetric fistula survivors at hospital in Dili, Timor-Leste. ©VII Photo/Ron Haviv Foreword: Ban Ki-moon, Secretary-General of the United Nations. ©UN Photo/Mark Garten Contents: School near Gaza City. ©UNICEF/Giacomo Pirozzi Woman takes part in a forum on the sidelines of the United Nations Climate Change Conference in Cancùn, Mexico. ©Reuters/Jorge Silva Women in Turkmenistan. ©Panos Pictures/George Georgiou From the Executive Director: Babatunde Osotimehin. ©UN Photo/Eskinder Debebe Population and Development: Kolkata, India. ©UN Photo/Kibae Park Reproductive Health and Rights: Maternal health care for survivors of flood in Pakistan. ©Jameel Ahmed/Walkabout Films Gender, Culture and Human Rights: Self-defense training in Monrovia, Liberia. ©VII Photo/Marcus Bleasdale Resources and Management: Cash-for-work programme in Haiti. ©UN Photo/Sophia Paris 2 Resources and Management ANNUAL REPORT 2010 Foreword The work of UNFPA is world. While progress in reaching the Millennium fundamental to our drive Development Goals is lagging in key areas, particularly to reach the Millennium maternal health, we have the necessary knowledge and Development Goals and tools to reverse this trend. That makes this a propitious improve the status of women time for greater investment in UNFPA and its agenda. worldwide. As poverty and The Global Strategy on Women and Children’s Health other entrenched challenges launched in September 2010 has generated important are exacerbated by threats momentum, attracting both the engagement of all key such as natural disasters, stakeholders as well as an impressive $40 billion in economic shocks and conflicts, this contribution concrete commitments for the next five years. becomes even more indispensable. If we can truly make real the new steps in policy- This was clearly the case in Haiti during the year cov- making, funding and service delivery called for in the ered by this report. The country’s development and Strategy, it will mark a major step forward in protect- security challenges were already severe when a powerful ing the health of vulnerable women and children earthquake caused widespread devastation in January. worldwide. As Haitians struggled to recover, UNFPA quickly mobi- lized to provide emergency support to pregnant women Progress will do more than help individuals; it will and newborns. The Fund supplied hospitals, mobile uplift whole societies. Women’s well-being can drive clinics and non-governmental relief agencies with safe economic growth, promote peace and advance develop- delivery and reproductive health kits, enabling them ment and social justice. Children who are nourished to meet the needs of 150,000 women. This critical and cared for today can usher in a better future tomor- support saved lives, prevented injuries and helped to row. Gender equality is not just a matter for women; restore some measure of normalcy. it will benefit all people. The events in Haiti served as a stark reminder of the By documenting UNFPA’s many achievements in 2010, importance of ensuring that UNFPA has sustained this report should help all those supporting its work to and predictable funding for its work throughout the ensure even greater success in the years to come. Ban Ki-moon Secretary-General of the United Nations Foreword i Contents i Foreword iii From the Executive Director 1 Population and Development 9 Reproductive Health and Rights 21 Gender, Culture and Human Rights 29 Resources and Management Tables and Charts 29 Income and Expenditures 2010 29 Top Donors to UNFPA 30 Expenditures by Country Group 30 Expenditures by Region 31 UNFPA Assistance by Region 31 UNFPA Assistance by Programme Area 32 Where UNFPA Works 34 UNFPA Assistance by Implementing Agency 35 2010 Project Expenditures 36 2010 Donor Commitments and Payments IV FOREWORD ANNUAL REPORT 2010 From the Executive Director In 2010 many of the countries In December, the General Assembly extended served by UNFPA, the United the International Conference on Population and Nations Population Fund, Development’s Programme of Action beyond 2014. In continued to make strides accordance with this decision, the General Assembly will toward improving access to re- convene a special session in 2014 to review progress of productive health, empowering the implementation of the Programme of Action and to women, and taking account of renew political support. In the words of my predecessor, population dynamics in formu- Thoraya Ahmed Obaid, “the United Nations Member lating development policies. States have again acknowledged the importance of fully implementing the International Conference on In the area of maternal health, the number of women Population and Development agenda to improve the dying from complications during pregnancy and child- lives of people around the world.” birth worldwide decreased 34 per cent over the past two decades. Another important highlight of 2010 was UNFPA’s de- velopment of a second-generation humanitarian strategy While this progress is notable, the decline is still less to strengthen preparedness, response and recovery, and than half of what is needed to achieve Millennium in that same year, UNFPA responded to emergencies Development Goal 5 to improve maternal health. Greater including floods in Pakistan, the earthquake in Haiti, action is needed to reach the two targets to reduce mater- a severe winter in Mongolia, civil unrest in Kyrgyzstan, nal deaths by 75 per cent from 1990 levels, and achieve a volcano eruption in Indonesia and a cyclone in universal access to reproductive health by 2015. Myanmar. UNFPA support ranged from providing ma- ternal and reproductive health care to the protection of While significant progress has been made in expanding women and girls from gender-based violence. access to reproductive health services, progress remains uneven across regions and income groups and within As UNFPA’s new Executive Director, I will build on the countries, where disparities often persist among the organization’s accomplishments so that UNFPA will wealthiest and poorest women, the best-educated and the become a more efficient and effective organization. I least-educated, and among women who live in urban and will strive to improve performance throughout the or- rural areas. ganization. I will work to further strengthen the human resources at UNFPA so that staff members are highly Young women and adolescents continue to face high skilled and motivated, speak with one voice, and share risks to their health, and lack access to information a common vision and unity of purpose. and services. As a result, adolescent birth rates remain high, especially in the least-developed countries. And I will strengthen the capacity of UNFPA to provide an estimated 215 million women, who want to plan or strategic, programmatic and technical guidance, transpar- space their pregnancies, do not have access to modern ent and accountable program formulation, and stronger contraception. monitoring and evaluation. We will improve critical analysis and research so that all we do is evidence-based The Programme of Action of the International Conference to provide better support to countries. on Population and Development aims to empower women to make their own reproductive decisions and promote And in 2011, as we approach a world of 7 billion people, equal rights and opportunities for women and men. UNFPA will further strengthen our vast network of part- UNFPA is committed to supporting countries’ efforts to nerships with governments, women’s organizations and realize these important objectives, and the international youth groups, faith-based institutions, media, parliamen- donor community has rallied behind us, with a record tarians and many others, to accelerate efforts in pursuit $850 million in support of our programmes in 2010. of our shared objectives. Babatunde Osotimehin From the Executive Director iii POPULATION AND DEVELOPMENT Drawing on population data to make informed decisions and formulate policies that promote sustainable development, reduce poverty and empower women 2 Resources and Management ood policymaking requires reliable data of these countries received UNFPA support through about people. Information and knowledge the organization’s Special Initiative on Census, which Gabout growth, movement, structure, living provided technical assistance as well as assistance with conditions and spatial distribution of a country’s advocacy, training, resource mobilization and dis- population are vital for policy formulation, planning semination of data to planners and civil society. The and implementation and monitoring and evaluation. Special Initiative brings together UNFPA’s technical resources at headquarters and at the organization’s Collecting, analysing, using and disseminating regional and country offices to support national ini- population data are critical to development policies tiatives. The Special Initiative also ensures that 2010 and programmes that make a difference to people’s census